Changes in Body Composition Under Ustekinumab in PsA

NCT ID: NCT03823924

Last Updated: 2022-10-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Total Enrollment

3 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-03-11

Study Completion Date

2021-07-11

Brief Summary

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There is not much body composition and bone mineral density data available for patients with psoriatic arthritis (rheumatoid arthritis) compared to control subjects.

The evaluation of the total fat mass and in particular of its abdominal distribution (visceral adiposity) is important because an excessive adiposity generates adverse effects on the health (hypertension, dyslipidemia, cardiovascular risk and resistance to the insulin).

In addition, data on changes in body composition and bone mineral density were not available under a new psA treatment, namely ustekinumab (anti-IL12 / 23 antibody).

It is proposed to conduct a pilot study to evaluate body composition, distribution (visceral adiposity) and bone mineral density in patients with psoriatic arthritis (versus control subjects) and their changes after 6 months of treatment with ustekinumab

Detailed Description

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Conditions

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Psoriatic Arthritis

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Psoriatic arthritis

Bone mineral density (BMD)

Intervention Type PROCEDURE

The bone mineral density (BMD) performed by DXA, which will allow the analysis of bone density (mg / cm²) at the lumbar spine (BMD L1 to L4) and the total hip (non-dominant).

This examination will also allow an analysis of the body composition at the same time (lean mass, fat mass and bone mass for the whole body).

Healthy volunteers

Bone mineral density (BMD)

Intervention Type PROCEDURE

The bone mineral density (BMD) performed by DXA, which will allow the analysis of bone density (mg / cm²) at the lumbar spine (BMD L1 to L4) and the total hip (non-dominant).

This examination will also allow an analysis of the body composition at the same time (lean mass, fat mass and bone mass for the whole body).

Interventions

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Bone mineral density (BMD)

The bone mineral density (BMD) performed by DXA, which will allow the analysis of bone density (mg / cm²) at the lumbar spine (BMD L1 to L4) and the total hip (non-dominant).

This examination will also allow an analysis of the body composition at the same time (lean mass, fat mass and bone mass for the whole body).

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Psoriatic arthritis:

1. Men and women ≥ 18 years
2. Patients with PsA according to CASPAR criteria,
3. Patients who do not have yet started ustekinumab,
4. Patients who signed the informed consent.
* Healthy volunteers:

1. Men and women ≥ 18 years
2. Patients who signed the informed consent.

Exclusion Criteria

* Items 1 to 10 are applicable to healthy volunteers and PsA

1. History of fragility fracture AND / OR T-score ≤-3 if ≥50 years AND / OR Z-score ≤-3 if \<50 years during the screening phase,
2. Corticosteroids ≥10 mg / day,
3. Diseases or treatments affecting bone metabolism (breast cancer with anti-aromatase, malabsorption, primary hyperparathyroidism, uncontrolled hyperthyroidism ...),
4. History of radiotherapy on the lumbar spine or hip,
5. Patients undergoing hormone replacement therapy (HRT) or patients already on anti-osteoporotic therapy (bisphosphonates, strontium ranelate, teriparatide or denosumab),
6. Chronic kidney disease with creatinine clearance (CKD-EPI) ≤ 30 ml / min,
7. Weight\> 160 kg,
8. Patients under restrictive diet or considering a diet of this type during the study period,
9. Patients who have an intense exercise program or plan to benefit from it during the study period,
10. Pregnant or lactating women or having a pregnancy project,
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Janssen Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

University Hospital, Lille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julien Paccou, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Lille

Locations

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Hôpital Roger Salengro, CHU

Lille, , France

Site Status

Countries

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France

Other Identifiers

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2018-A01552-53

Identifier Type: OTHER

Identifier Source: secondary_id

2017_39

Identifier Type: -

Identifier Source: org_study_id

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